Long-term effect of short-term exercise instructions in Japanese patients with type 2 diabetes: observation study after randomized controlled study.

IF 1.2 Q4 ENDOCRINOLOGY & METABOLISM

Diabetology International Pub Date : 2024-10-11 eCollection Date: 2025-01-01 DOI:10.1007/s13340-024-00766-x

Hideto Iida, Takashi Sekiyama, Yoshitaka Hashimoto, Jin Matsushita, Atsushi Shindo, Hiroshi Okada, Hiroaki Murata, Michiaki Fukui

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引用次数: 0

Abstract

Aims: To clarify the long-term effects of short-term exercise instructions by physical therapists in Japanese people with type 2 diabetes (T2D).

Methods: This was a follow-up study of 2 years after randomized controlled study of short-term exercise instructions included 18 patients (5 in the non-intervention and 13 in the intervention groups). Motor skills, including 6 min walk test scores, and transtheoretical model was evaluated at baseline (week 0), the end of the study of the previous study (week 8), and 2 years after (2 years).

Results: In the intervention group, changes in 6 min walk distance, which was significant at 8 weeks (from 445 (420-480) m to 490 (450-520) m, p = 0.01)), were maintained at 2 years (496 (420-540) m, p = 0.05), whereas in the non-intervention group, there were no changes in 6 min walk distance at 8 weeks (from 460 (458-493) m to 464 (460-485) m, p = 0.86) and 2 years (490 (480-506) m, p = 0.63). Furthermore, the changes in transtheoretical model, which was significant at 8 weeks (p = 0.008), were maintained at 2 years (p = 0.02), whereas in the non-intervention group, there were no changes in 6 min walk distance at 8 weeks and 2 years. On the other hand, the other markers were not significantly different between week 8 and 2 years compared to baseline in both groups.

Conclusions: Short-term outpatient exercise instruction by physical therapists may lead to long-term improvement effect on walking ability in people with T2D.

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短期运动指导对日本2型糖尿病患者的长期影响：随机对照研究后的观察研究

目的：阐明物理治疗师对日本2型糖尿病（T2D）患者进行短期运动指导的长期效果。方法：对18例患者（非干预组5例，干预组13例）进行短期运动指导随机对照研究，随访2年。运动技能（包括6分钟步行测试分数）和跨理论模型在基线（第0周）、前一项研究结束（第8周）和2年后（2年）进行评估。结果：在干预组中，6分钟步行距离的变化在8周时(从445 （420-480)m到490 (450-520)m, p = 0.01）保持在2年（496 (420-540)m, p = 0.05），而在非干预组中，6分钟步行距离在8周(从460 （458-493)m到464 (460-485)m, p = 0.86）和2年（490 (480-506)m, p = 0.63）没有变化。此外，跨理论模型的变化在8周时具有显著性（p = 0.008），并在2年保持（p = 0.02），而在非干预组，8周和2年的6分钟步行距离没有变化。另一方面，两组患者在第8周和第2周的其他指标与基线相比无显著差异。结论：门诊物理治疗师的短期运动指导可对T2D患者的行走能力产生长期的改善作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetology International ENDOCRINOLOGY & METABOLISM-

CiteScore

3.90

自引率

4.50%

发文量

期刊介绍： Diabetology International, the official journal of the Japan Diabetes Society, publishes original research articles about experimental research and clinical studies in diabetes and related areas. The journal also presents editorials, reviews, commentaries, reports of expert committees, and case reports on any aspect of diabetes. Diabetology International welcomes submissions from researchers, clinicians, and health professionals throughout the world who are interested in research, treatment, and care of patients with diabetes. All manuscripts are peer-reviewed to assure that high-quality information in the field of diabetes is made available to readers. Manuscripts are reviewed with due respect for the author''s confidentiality. At the same time, reviewers also have rights to confidentiality, which are respected by the editors. The journal follows a single-blind review procedure, where the reviewers are aware of the names and affiliations of the authors, but the reviewer reports provided to authors are anonymous. Single-blind peer review is the traditional model of peer review that many reviewers are comfortable with, and it facilitates a dispassionate critique of a manuscript.